Dr Rogers starts by cleaning the appropriate area of the skin. He uses ultrasound imaging to identify the damaged tendon during the procedure. A local anaesthetic is applied to numb the area surrounding the tendon, so patients feel only a little bit of pressure during the procedure. Next, Dr Rogers inserts the Tenex ultrasonic needle through a very small incision (less than ¼ inch) near the affected tendon. He uses ultrasound to visualise the tendon, then uses the Tenex ultrasonic needle to remove the scar tissue and calcifications in the tendon, leaving healthy tissue intact. The Tenex ultrasonic needle is removed, and the area is bandaged.